NPIMap

Organization Active NPI

BKC Laboratory LLC

  • Pain Clinic/Center
  • Marion, OH
National Provider Identifier
1356831069
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
35080847 Issued in OH
Legal business name
BKC LABORATORY LLC
Practice address
1065 Delaware Ave Ste a
Marion, OH 43302-6461
Phone
(740) 387-7246
Fax
(740) 387-7244
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adil Omar Katabay, M.D.NPI 1346204039
Title
Owner/M.D.
Phone
(614) 738-4128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 35080847 OH Primary

Addresses

Primary practice location

1065 Delaware Ave Ste a
Marion, OH 43302-6461

Mailing address

1065 Delaware Ave Ste a
Marion, OH 43302-6461
Phone (740) 387-7246

Other identifiers 2

IdentifierTypeStateIssuer
0127499MedicaidOH
2318414MedicaidOH

Other names 2

  • BKC Pain Specialists LLC Doing business as
  • BKC Pain Specialists LLC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1356831069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 DELAWARE AVE STE A",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026461",
            "telephone_number": "740-387-7246",
            "fax_number": "740-387-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 DELAWARE AVE STE A",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026461",
            "telephone_number": "740-387-7246",
            "fax_number": "740-387-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KATABAY",
        "authorized_official_first_name": "ADIL",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "614-738-4128",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OH",
            "license": "35080847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127499",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2318414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BKC Pain Specialists LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BKC Pain Specialists LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.